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目的分析温州市鹿城区艾滋病流行特征,为制定防控措施提供依据。方法通过国家疾控信息系统艾滋病综合防治信息系统,对鹿城区1993—2015年疫情资料进行分析。结果鹿城区1993-2015年累计报告HIV/AIDS病例1 476例(HIV 815例,AIDS 661例),累计死亡255例。2004年前报告病例较少,2005-2011年增长迅速(年均增长38.6%),2011年后增速放缓(年均增长3.2%)。病例性别比4.4∶1;以20~49岁为主(79.7%);≤初中文化占63.4%;工人(21.9%)、商业服务占比较高(19.5%);以流动人口为主,外省占47.2%;感染途径多样化,性传播占94.5%,同性性传播上升,注射吸毒感染下降。结论鹿城区艾滋病疫情进入缓慢增长期,应在流动人口聚集地积极开展多种形式的健康宣传,加大男男同性恋人群的干预和宣传,以控制疫情蔓延。
Objective To analyze the epidemic characteristics of AIDS in Lucheng District of Wenzhou City and provide the basis for the development of prevention and control measures. Methods Through the National Integrated Disease Information System for AIDS Prevention and Control Information System, epidemic situation data of Lucheng District from 1993 to 2015 were analyzed. Results A total of 1 476 HIV / AIDS cases (815 HIV cases and 661 AIDS cases) were reported in Lucheng District from 1993 to 2015, with a total of 255 deaths. There were fewer reported cases by 2004, with a rapid increase from 2005 to 2011 (an average annual increase of 38.6%) and a slowdown after 2011 (an average annual increase of 3.2%). (79.7%); ≦ junior high school culture accounted for 63.4%; workers (21.9%), accounting for a high proportion of commercial services (19.5%); mainly migrants, while other provinces accounted for 47.2%. The diversified routes of infection were 94.5% for sexually transmitted diseases, the same-sex sexual transmission was increased, and the number of injecting drug-use infections was decreased. Conclusion The epidemic situation of AIDS in Lucheng District has entered a period of slow growth. Various forms of health promotion should be actively carried out in the floating population centers to increase the intervention and publicity of the gay male population so as to control the spread of the epidemic.